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NPI Code Detail

MEDICARE: DR. ROBERT L STEPHENSON PSYD

MEDICARE: DR. ROBERT L STEPHENSON PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY 7914FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023001716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT L STEPHENSON PSYD
Provider Business Mailing Address
First Line : 1090 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34236-9116
Country : US
Telephone Number : 941-363-0878
Fax Number : 941-460-5599
Provider Business Practice Location Address
First Line : 1755 18TH ST
Second Line :
City : SARASOTA
State : FL
Zip : 34234-8657
Country : US
Telephone Number : 561-790-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 07/23/2019

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